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Email(Required)

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Password(Required)

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Medical Volunteer Assignment(Required)

Please select your assigned role.

Select Your Mass EMS Region(Required)

Massachusetts is divided into 5 geographical EMS regions. https://www.mass.gov/service-details/ems-regions-in-massachusetts

Please select your current EMS Provider Level:(Required)

EMS Certification Number(Required)

The correct format is E####### (E for EMT, A for Advanced EMT, and P for Paramedic)

Enter BAA Registration Code Given To You(Required)

Contact Stephanie Walsh walsh@racemedical.org if you don't have this registration code.

Phone

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